ELIZABETH ROSE KACZMAREK (NPI# 1730237025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730237025 |
Entity Type | Individual |
Full Name | ELIZABETH ROSE KACZMAREK |
Credential | PHARMD |
Practice Address |
108 Arabian Dr Victoria TX 77904-3248 |
Practice Telephone | 3615820528 |
Practice Fax Number | 8133290421 |
Mailing Telephone | 3615820528 |
Mailing Fax Number | 8133290421 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
38184 | TX | Pharmacy Service Providers |
X | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
38184 | TX | Pharmacy Service Providers |
X | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
IL | Pharmacy Service Providers | |
X | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
IL | Pharmacy Service Providers |
Street Address |
108 ARABIAN DR |
City | VICTORIA |
State | TX |
Zip Code | 77904-3248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
Find all providers in zip 77904 |
Taxonomy Code | 1835N1003X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Nutrition Support |
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720543754 | Donna Bellia | Pharmacist | 211 E Creekview Dr, Fredericksburg, TX 78624-5434 | 2019-02-04 |
1457844656 | Jean Ann Graham | Pharmacist | 2503 Saratoga Dr, Austin, TX 78733-1240 | 2018-06-12 |
1295274397 | People's Wellness Center | Pharmacist | 13860 N Us Highway 183 Ste C, Austin, TX 78750-1203 | 2017-02-22 |
1881080109 | Patrece Jones | Pharmacist | 18101 Point Lookout Dr, 343, Houston, TX 77058-3569 | 2015-04-14 |
1659771194 | Rick Ferris | Pharmacist | 115 Tower Rd, Valley View, TX 76272-7668 | 2014-09-03 |
1447509625 | Barbara Ann Campbell | Pharmacist | 13860 Highway 183 North Suite C, Austin, TX 78750 | 2012-09-05 |
1457616708 | David Christian Morcom | Pharmacist | 16306 Shadybank Dr, Dallas, TX 75248-2957 | 2012-07-11 |
1881806321 | Todd Wayne Canada | Pharmacist | 1515 Holcombe Boulevard, Unit 377, Division of Pharmacy, Houston, TX 77030-4009 | 2007-05-04 |
1720129851 | E. J. Stein | Pharmacist | 2004 W State Highway 29, Burnet, TX 78611-2353 | 2007-02-10 |
1881762300 | Luis Omar Valdivieso Jr. | Pharmacist | 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236 | 2006-12-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.